| NPI | 1396718540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME MD22277) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 052917) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD042142E) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 33832) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2019-04-18 |