NPI | 1154416519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 35066) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 35066) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NC 35066) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2019-12-06 |