NPI | 1922154103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 59975) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 234726) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 234726) | |
Enumeration Date | 2007-01-28 |
Last Update Date | 2013-05-02 |