NPI | 1710970611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 24041) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 13866) |
Enumeration Date | 2005-08-25 |
Last Update Date | 2021-04-15 |