| NPI | 1659379360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 36860) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 04-33875) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 13538) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 18206) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AL 13538) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2018-11-01 |