| NPI | 1972883353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CO DR.0057578) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MS 821-L) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: PA MD458711) | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2016-09-20 |