NPI | 1114360856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD42671) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA MD42671) |
Enumeration Date | 2013-04-11 |
Last Update Date | 2018-06-24 |