NPI | 1720302458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA 144501) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NY 269599) |
2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: VT 042.0013186) | |
2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: ID M-17539) | |
Enumeration Date | 2010-03-24 |
Last Update Date | 2023-11-06 |