| NPI | 1467531848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 51641) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WI 5164120) |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2014-04-09 |