NPI | 1174857601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C1-0011018) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 241908) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD450818) | |
Enumeration Date | 2009-09-30 |
Last Update Date | 2015-01-13 |