NPI | 1912960899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 72677) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MA 72677) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MA 72677) | |
Enumeration Date | 2006-04-10 |
Last Update Date | 2019-04-26 |