NPI | 1346466067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C55875) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NY 212107) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 212107) | |
Enumeration Date | 2007-04-18 |
Last Update Date | 2016-04-25 |