NPI | 1336342567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2023-03476) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301087724) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME109724) | |
Enumeration Date | 2007-06-06 |
Last Update Date | 2024-04-23 |