| NPI | 1467541664 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX M8379)  | 
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX Temporary)  | 
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS T-00925)  | |
| Enumeration Date | 2006-10-12 | 
| Last Update Date | 2021-06-01 |