| NPI | 1447699079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 65280) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT-205174) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 65280) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI FS5961215) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2018-06-27 |