NPI | 1639518814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: CA 20A24045) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A24045) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 20A24045) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A24045) | |
Enumeration Date | 2013-06-20 |
Last Update Date | 2025-10-01 |