NPI | 1114285962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD6088082) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 34944264) |
Enumeration Date | 2012-04-30 |
Last Update Date | 2020-04-09 |