| NPI | 1205962149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD422931) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA12370300) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 332064) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2024-08-15 |