NPI | 1558463083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C51455) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 151969-1) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101056534) | |
Enumeration Date | 2006-09-04 |
Last Update Date | 2007-07-08 |