| 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 |