| NPI | 1639603566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: HI MD-22173) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MA ETELL344284681) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2022-08-09 |