NPI | 1609986090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA md00040800) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR MD23681) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A67347) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2010-05-27 |