NPI | 1316005853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: LA R#005403, L#017047) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA R#005403, L#017047) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2011-06-16 |