NPI | 1063498038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX H6487) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: TX H6487) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: TX H6487) | |
Enumeration Date | 2005-12-21 |
Last Update Date | 2012-08-09 |