NPI | 1679700967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A116652) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A116652) |
Enumeration Date | 2009-06-15 |
Last Update Date | 2015-04-13 |