| NPI | 1699718254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO R6N11) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MO R6N11) |
| 2084P0805X (Licence: MO R6N11) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2025-10-13 |