NPI | 1740621101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A171938) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 256344) |
Enumeration Date | 2013-07-15 |
Last Update Date | 2022-02-04 |