NPI | 1912162967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2011035896) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 258897) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MO 2011035896) | |
Enumeration Date | 2008-07-18 |
Last Update Date | 2022-09-12 |