NPI | 1265404578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD- 070067 L) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: PA MD- 070067L) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2009-02-26 |