| NPI | 1720183759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 69784) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC 200201217) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D0061290) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WV 26843) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2018-09-13 |