| NPI | 1760830608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 55698) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 55698) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD470969) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2021-09-21 |