| NPI | 1487790705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA OS007964L) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO 2019043905) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 25MB05976300) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2021-05-06 |