| NPI | 1659589224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX P0953) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P0935) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P0935) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2013-01-17 |