NPI | 1578050837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 11923686-1205) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 29089) |
Enumeration Date | 2018-04-21 |
Last Update Date | 2023-08-23 |