| NPI | 1649768961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 74957) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 67999) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 74957) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MN 67999) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2024-05-07 |