NPI | 1174537195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME90118) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N0202) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 20990) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2013-04-29 |