NPI | 1932738937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MN 69691) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 69691) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 30907) | |
Enumeration Date | 2020-04-02 |
Last Update Date | 2024-06-19 |