| NPI | 1538301098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA MD60281924) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD 60281924) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2019-06-14 |