NPI | 1174969299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301506023) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101253480) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD041045) | |
Enumeration Date | 2013-05-15 |
Last Update Date | 2022-03-11 |