NPI | 1619936622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 041088) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 154247) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CT 041088) | |
Enumeration Date | 2006-03-20 |
Last Update Date | 2010-05-12 |