| NPI | 1801055538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 254675) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 254675) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 254675) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2021-12-17 |