| NPI | 1427254713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX M7834) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M7834) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 055085) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 055085) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2013-05-17 |