| NPI | 1659803294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 10964186-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 10964186-1205) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 10964186-1205) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2022-10-20 |