| NPI | 1154392926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD037176) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0061549) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101255396) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-06-25 |