| NPI | 1679545677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD479339) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD20357) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 15545) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C1-0025864) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2023-03-07 |