NPI | 1629416391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI 20807) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 279756) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD472678) | |
Enumeration Date | 2013-06-04 |
Last Update Date | 2024-07-18 |