| NPI | 1083629927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: SC 18650) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: NC 2006-00836) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2021-06-01 |