NPI | 1285729624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C1-0011919) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 233961) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: OH 35-074735) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2019-07-09 |