NPI | 1336431667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.141811) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2016-00401) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C171229) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME122151) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA09831500) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MA09831500) | |
Enumeration Date | 2011-05-04 |
Last Update Date | 2025-02-19 |