NPI | 1356553945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 191567) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 104714) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD433186) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2023-11-02 |