NPI | 1154525475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ R76846) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NV 12388) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ R76846) | |
Enumeration Date | 2007-06-12 |
Last Update Date | 2023-10-27 |