NPI | 1174184865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2023-00967) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MB11275200) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 123) | |
Enumeration Date | 2019-06-24 |
Last Update Date | 2023-10-06 |