| NPI | 1356037204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 14174860-1205) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: UT 14174860-1205) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: UT 14174860-1205) | |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2024-10-04 |