| NPI | 1881828325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 275339) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 46560) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 46560) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 46560) | |
| 208000000X Pediatrics (Licence: OH 57.020591) | |
| 208000000X Pediatrics (Licence: NY 275339) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2014-10-02 |