NPI | 1770555187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NY 237018) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ MA07981400) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2019-06-18 |