| NPI | 1962619791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX N1894) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA 017453) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 017453) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-04-03 |