NPI | 1013466341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MA058722) |
Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2016-09-28 |
Last Update Date | 2017-06-01 |