| NPI | 1235368036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301116377) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 18459) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NH 18459) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301116377) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2020-02-25 |