| NPI | 1740483015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PR 16992) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 16992) |
| 208D00000X General Practice (Licence: PR 16992) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2010-09-13 |