| NPI | 1023199429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D23777) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD035835E) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101050885) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2011-07-20 |