NPI | 1689962607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA A131809) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 26942) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A131809) | |
Enumeration Date | 2011-07-11 |
Last Update Date | 2024-04-28 |