| NPI | 1003075037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A111883) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A111883) |
| 282N00000X General Acute Care Hospital (Licence: CA A111883) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2020-01-17 |