| NPI | 1104085364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD14787) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD434343) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA08544700) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2023-02-09 |