NPI | 1275758948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0062227) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M6391) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 263366) | |
Enumeration Date | 2007-04-16 |
Last Update Date | 2011-12-16 |