NPI | 1316433303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A164652) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA A164652) |
208D00000X General Practice (Licence: CA A164652) | |
Enumeration Date | 2018-07-03 |
Last Update Date | 2024-07-16 |