NPI | 1972753663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 250105) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C158223) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 49153) | |
Enumeration Date | 2008-09-30 |
Last Update Date | 2022-02-11 |