| NPI | 1326566720 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 12985123-1205) | 
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 12985123-1205) | 
| 208000000X Pediatrics (Licence: UT 12985123-1205) | |
| Enumeration Date | 2017-09-06 | 
| Last Update Date | 2022-08-22 |