| NPI | 1457347940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD036151L) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD036151L) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2007-07-08 |