NPI | 1174061899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2020-0946) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM RS2018-0388) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C7-0006401) | |
Enumeration Date | 2017-02-01 |
Last Update Date | 2021-08-11 |