| NPI | 1831893643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC DO210012830) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: DC DO210012830) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2026-07-27 |