| NPI | 1720583065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 56879) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 56879) |
| 208000000X Pediatrics (Licence: KY R4897) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY R4897) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 56879) | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2023-07-17 |