NPI | 1467661454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: DC MD038885) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 229394) |
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: VA 0101247830) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2019-12-17 |