| NPI | 1922261635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301108537) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY R1574) |
| 208000000X Pediatrics (Licence: PA MD441491) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY R1574) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD441491) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY R1574) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD441491) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2015-08-27 |