NPI | 1982677878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD420737) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD420737) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD420737) | |
Enumeration Date | 2006-02-10 |
Last Update Date | 2021-04-28 |