NPI | 1114556958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 71875) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301512488) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 327240) | |
Enumeration Date | 2020-04-03 |
Last Update Date | 2024-10-29 |