NPI | 1487036703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 70095-20) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 061-t1) |
Enumeration Date | 2015-06-23 |
Last Update Date | 2022-01-10 |