NPI | 1225259732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA 200767) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: LA 200767) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2023-03-07 |