| NPI | 1215901012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NM MD2016-0815) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD039176L) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2016-12-15 |