NPI | 1740419092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD465735) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101265512) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 003349) | |
Enumeration Date | 2009-07-08 |
Last Update Date | 2018-10-09 |