| NPI | 1578839726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD 83100) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 48539) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD463521) | |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2019-08-28 |