| NPI | 1932316908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 94-12197) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301087879) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MO 2025031318) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 23963) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2025-08-07 |