NPI | 1245434844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX N4288) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N4288) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2023-09-12 |