NPI | 1578542940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.088867) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 4983981-1205) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 4983981-1205) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.088867) | |
Enumeration Date | 2006-01-12 |
Last Update Date | 2010-05-13 |