NPI | 1184775926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G73855) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD439017) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA G73855) | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: PA MD439017) | |
Enumeration Date | 2007-01-16 |
Last Update Date | 2023-06-20 |