| NPI | 1306940630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 283477) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 8055) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PR 8055) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 24352) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 24352) | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2017-03-22 |