| NPI | 1073171344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD479590) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2019018166) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT226300) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2023-06-29 |