NPI | 1952433617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD440727) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D67431) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2011-05-03 |