NPI | 1265924849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA R-11250) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA R-11250) |
Enumeration Date | 2018-05-31 |
Last Update Date | 2018-05-31 |