NPI | 1134234362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301077326) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301077326) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MI 4301077326) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA md203942) | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2019-02-15 |