| NPI | 1174689764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD433725) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT185759) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD433735) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2023-06-01 |