| NPI | 1770783938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD436334) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C1-0011104) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C161826) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2020-07-02 |