NPI | 1659453504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: NY 279582) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 16511) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2015-09-02 |