NPI | 1447514070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MO 2019037049) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 67656) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2019037049) | |
Enumeration Date | 2012-06-28 |
Last Update Date | 2023-10-11 |