NPI | 1053424200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 56383) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 56383) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2007-07-24 |