| NPI | 1992144083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MN 64709) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 266270) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA R9845) | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2018-10-25 |