| NPI | 1699031203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD457483) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01079747A) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2017-02491) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2018-03-17 |