NPI | 1285684738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA C54949) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 217157) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 50584) | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2024-04-29 |