| NPI | 1407872765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NE 22666) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO DR.0069839) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IA MD-50569) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 320095) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-06-29 |