NPI | 1154375756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: GA 57886) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 57886) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2018-07-13 |