| NPI | 1700096419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 4569) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 4659) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI DOS1109) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-05-21 |