NPI | 1710120324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR 165731) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 55050) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60623855) | |
Enumeration Date | 2009-04-13 |
Last Update Date | 2016-10-11 |