| NPI | 1629069299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX H6198) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR MD18604) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: TX H6198) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX H6198) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2015-09-21 |