NPI | 1235510496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: KY 60982) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: SC 37680) |
2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: GA 88676) | |
Enumeration Date | 2015-06-13 |
Last Update Date | 2025-06-20 |