NPI | 1043654171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 34.013839) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT015086) |
Enumeration Date | 2013-04-19 |
Last Update Date | 2020-12-03 |