NPI | 1750543294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NE 25421) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NE 25421) |
208D00000X General Practice (Licence: NE 25421) | |
Enumeration Date | 2008-06-26 |
Last Update Date | 2016-11-28 |