NPI | 1154633386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS14262) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS T-2311) |
Enumeration Date | 2010-07-02 |
Last Update Date | 2018-11-29 |