| NPI | 1891282562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 81827) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024033693) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 81827) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-09-18 |