NPI | 1881620722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 36918) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 36918) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2023-08-04 |