| NPI | 1417020686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 55652) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35085276) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2016-08-30 |