NPI | 1235351339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301069203) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301069203) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301069203) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2014-10-29 |