| NPI | 1730340720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME111033) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT191618) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL TN14581) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD440945) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2012-12-27 |