| NPI | 1790190791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 04-41077) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 94-08402) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-41077) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 94-08402) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2023-06-21 |