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 |