NPI | 1922099290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0060526) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME60526) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2019-03-27 |