| NPI | 1023108305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME68403) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD027364E) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101054935) | |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2007-07-08 |