NPI | 1336569599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 176428) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 282050) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 281353-1) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA 477389) | |
Enumeration Date | 2014-04-25 |
Last Update Date | 2022-04-22 |