NPI | 1316929508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 27096) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 32778) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME94634) | |
Enumeration Date | 2005-11-15 |
Last Update Date | 2018-03-17 |