| NPI | 1902823628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA Certificate No.49804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD 059842 L) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-08-09 |