NPI | 1114546801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 36095) |
Additional Taxonomies | 208D00000X General Practice (Licence: OK 36095) |
Enumeration Date | 2020-04-13 |
Last Update Date | 2023-09-08 |