| NPI | 1871796920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A125851) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI 5055) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI 5055) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2018-06-07 |