| NPI | 1053798272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD463276) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD463276) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2024-03-15 |