NPI | 1700064821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 281P00000X Chronic Disease Hospital |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A102373) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 250717) | |
Enumeration Date | 2008-01-31 |
Last Update Date | 2012-05-18 |