| NPI | 1679729545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD439734) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA 186531) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD439734) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2012-07-25 |