| NPI | 1336228774 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR MD150652) | 
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MN 44267) | 
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA G47807) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 44267) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G47807) | |
| Enumeration Date | 2006-11-05 | 
| Last Update Date | 2022-02-04 |