| NPI | 1477781987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R1829) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME120087) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX R1829) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME120087) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2018-10-29 |