NPI | 1821364738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 61739) |
Additional Taxonomies | 208D00000X General Practice (Licence: WI 61739-21) |
Enumeration Date | 2012-03-25 |
Last Update Date | 2022-07-21 |