NPI | 1699459537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA R-12879) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA R-12879) |
Enumeration Date | 2023-06-12 |
Last Update Date | 2023-06-12 |