| 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 |