NPI | 1588078000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 54234) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NC 0010-04854) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC 0010-04854) | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA 54234) | |
363A00000X Physician Assistant (Licence: NC 0010-04854) | |
363A00000X Physician Assistant (Licence: CA 54234) | |
363A00000X Physician Assistant | |
Enumeration Date | 2014-06-12 |
Last Update Date | 2020-11-17 |