| NPI | 1679739395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: UT 7973913-1205) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: UT 7973913-1205) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2021-11-10 |