| NPI | 1417181546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: ND 12325) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 390200000X) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 53581) | |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2019-07-01 |