NPI | 1851509749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-37729) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301095404) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MI 4301095404) | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: IA MD-37729) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2014-06-23 |