| NPI | 1700176757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MO 2020004931) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX BP1-0039546) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2020-03-25 |