NPI | 1770583932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AK 5439) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NM 90-153) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 152189-1205) | |
Enumeration Date | 2005-07-28 |
Last Update Date | 2007-07-08 |