NPI | 1386851772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA MD60170109) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MDR4824) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60170109) | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2021-06-30 |