| NPI | 1558758086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA 60829553) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA 60829553) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 5769) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 67523) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2021-11-30 |