NPI | 1770716292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD045156L) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD045156-L) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME139491) | |
Enumeration Date | 2009-09-01 |
Last Update Date | 2024-05-02 |