NPI | 1891348041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301503714) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.137106) |
Enumeration Date | 2019-07-17 |
Last Update Date | 2021-05-20 |