| NPI | 1629463484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A168899) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A168899) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2023-03-16 |