NPI | 1528359700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 75674-20) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA 60491232) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: WA MD60491232) | |
Enumeration Date | 2011-04-22 |
Last Update Date | 2021-08-02 |