| NPI | 1538242870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: SC 39085) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 39085) |
| 207P00000X Emergency Medicine (Licence: KY 02836) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 02836) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 02836) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2025-04-09 |