| NPI | 1174857601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C1-0011018) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 241908) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD450818) | |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2015-01-13 |