| NPI | 1619022738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO CDRH0054342) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 346254-1205) |
| 208000000X Pediatrics (Licence: OH 35091989) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA MD61026284) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036146973) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D0088583) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2021-06-29 |