NPI | 1659892719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.139016) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL51246) |
Enumeration Date | 2017-06-29 |
Last Update Date | 2023-07-12 |