NPI | 1063688679 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CT 050933) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 050933) |
Enumeration Date | 2008-05-03 |
Last Update Date | 2022-07-11 |