| NPI | 1649388521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: OR MD25553) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD25553) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD25553) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2015-07-07 |