NPI | 1184885055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: PA MD444203) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD444203) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD444203) | |
Enumeration Date | 2008-06-23 |
Last Update Date | 2017-04-03 |