| 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 |