NPI | 1801010194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX H8344) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2023016841) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX H8344) | |
Enumeration Date | 2007-04-11 |
Last Update Date | 2023-09-28 |