NPI | 1639132079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NY 117677) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 117677) |
Enumeration Date | 2006-04-07 |
Last Update Date | 2009-07-06 |