NPI | 1194885442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101241557) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2006-12-09 |
Last Update Date | 2022-05-31 |