NPI | 1588984322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: GA 74313) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL TRN14915) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2015-10-22 |