| NPI | 1699978783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI AK3041960 DOSR-61) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI AQ1077482Z167 DOSR61) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |