| NPI | 1811223175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0082092) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A119842) |
| 208000000X Pediatrics (Licence: AZ R71575) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101260220) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH Training License) | |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2022-02-01 |