| NPI | 1861542888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 053683) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 167847) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2015-03-09 |