NPI | 1720215668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 1014542) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 156593) |
Enumeration Date | 2009-06-18 |
Last Update Date | 2023-10-03 |