NPI | 1083800106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: ME MD19147) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 240082) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 240082) | |
Enumeration Date | 2007-09-21 |
Last Update Date | 2024-11-22 |