| 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 |