| NPI | 1124247390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0075682) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT190112) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD437619) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2014-06-10 |