| 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 |