NPI | 1255425351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MO R9H04) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO R9H04) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MO R9H04) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-07-08 |