| NPI | 1497139646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY R3987) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 52295) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 52295) | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2020-12-09 |