| NPI | 1558360578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 20216) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO R6D12) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A42871) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 20216) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MO R6D12) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A42871) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2007-07-08 |