NPI | 1417216276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 008138) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 66543) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA R-09973) | |
Enumeration Date | 2012-05-14 |
Last Update Date | 2020-09-10 |