| NPI | 1649652504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD466431) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: DE C7-0005995) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2020-04-16 |