| 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 |