| NPI | 1508914623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IN 02004855A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 184771) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NY 184771) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IN 02004855A) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2017-04-11 |