| NPI | 1730190562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IN 01084304A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX L0019) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX L0019) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-09-16 |