| NPI | 1578761797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 65774-20) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 120050) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IA 41833) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2017-02-09 |