| NPI | 1649479973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: GA 70395) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD442003) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA09177300) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 70395) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: PA MD442003) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NJ 25MA09177300) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2019-12-11 |