NPI | 1386828606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 6805378-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 6805378-1205) |
Enumeration Date | 2007-12-21 |
Last Update Date | 2021-11-19 |