| NPI | 1194943332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D70132) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD430774) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 25MA08238100) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MD D0070132) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-03-24 |