| NPI | 1043662729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD470216) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY A171676) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 3030632) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT212242) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 71520) | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2022-06-23 |