| NPI | 1881750552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 43919) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 301644) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD432437) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2022-07-05 |