| NPI | 1518373802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD465146) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-13481) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: AR E-13481) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT207342) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2020-11-06 |