NPI | 1477515401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX M3728) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX M3728) |
Enumeration Date | 2006-04-05 |
Last Update Date | 2011-08-30 |