| NPI | 1609030881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX N9097) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY R1485) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY R1485) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2017-01-11 |