NPI | 1629364062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA 60751692) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID O-0901) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2018-05-22 |