| NPI | 1932677523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 11638364-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 11638364-1205) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 11638364-1205) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2020-02-07 |