| NPI | 1730167248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MI LD33959) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: MI LD33959) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2007-07-08 |