| NPI | 1558558270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 46390) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 40021) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 46390) | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2025-07-29 |