NPI | 1598979049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ MA27360) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0414416) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD012311E) | |
Enumeration Date | 2007-05-10 |
Last Update Date | 2007-07-08 |