| NPI | 1144336827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD041907L) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA MD-041907-L) |
| 173000000X Legal Medicine (Licence: PA MD-041907-L) | |
| 174400000X Specialist (Licence: PA MD-041907-L) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY TP415) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: KY TP415) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2014-06-05 |