NPI | 1629260898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA C149583) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C149583) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 51947) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 60969-20) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C149583) | |
Enumeration Date | 2007-08-13 |
Last Update Date | 2024-04-29 |