NPI | 1760773683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: RI MD17728) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 52759) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: KY TP673) | |
Enumeration Date | 2011-04-26 |
Last Update Date | 2024-07-19 |