| NPI | 1326331042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 76263) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 076263) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 76263) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 76263) | |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2021-01-13 |