| NPI | 1225490741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A69179) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY R4014) |
| 208000000X Pediatrics (Licence: CA A69179) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY R319) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2021-09-28 |