| NPI | 1003256785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NC 2024-00876) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NY 288448) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT204685) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD464611) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2024-07-17 |