| NPI | 1881726982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 5101007098) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101007098) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101007098) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |