NPI | 1780955021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NY 287575) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: PA AEQZ6YZ3) |
2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX P5338) | |
Enumeration Date | 2012-01-18 |
Last Update Date | 2018-08-07 |