| NPI | 1124186333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD11867) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0023144) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101027121) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-09-19 |