NPI | 1043354095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 4913886-1205) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 50462) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MN TP103474) | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA A97079) | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: WA MD00045423) | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: UT 49138868905) | |
Enumeration Date | 2007-02-15 |
Last Update Date | 2021-03-11 |