| NPI | 1841827227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY R5315) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY R5315) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2023-08-30 |