NPI | 1104983428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD12168) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: RI MD12168) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2009-03-30 |