| NPI | 1689735292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 16632) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M6322) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-106929) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD426598) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2021-07-28 |