| NPI | 1629390562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: PA MD461626) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD461626) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 53161) | |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2019-08-21 |