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 |