| 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 |