NPI | 1962609354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60588332) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA R8191) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 38478) | |
Enumeration Date | 2007-06-28 |
Last Update Date | 2016-10-21 |