| NPI | 1760457485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 036588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 036588) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2010-04-08 |