NPI | 1093061632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD465964) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA md465964) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25ma09047500) | |
Enumeration Date | 2012-08-01 |
Last Update Date | 2020-04-20 |