NPI | 1811958895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: PA MD041845L) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD041845L) |
2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: PA MD041845L) | |
Enumeration Date | 2006-03-30 |
Last Update Date | 2007-08-19 |