NPI | 1891135711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX S0168) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC LL35981) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI MD-19132) | |
Enumeration Date | 2013-06-25 |
Last Update Date | 2019-01-30 |