NPI | 1902064587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q0610) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: TX Q0610) |
207R00000X Internal Medicine (Licence: TX Q0610) | |
Enumeration Date | 2008-05-30 |
Last Update Date | 2024-05-21 |