NPI | 1346637782 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60783457) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60783457) |
Enumeration Date | 2015-04-23 |
Last Update Date | 2022-10-24 |