NPI | 1841433828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA DO.000263) |
Additional Taxonomies | 2084S0010X Psychiatry & Neurology, Sports Medicine (Licence: LA DO.000263) |
Enumeration Date | 2009-04-07 |
Last Update Date | 2021-05-07 |