| NPI | 1366518847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: PA MD056536L) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: PA MD056536L) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD056536L) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA08832400) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2010-12-16 |