NPI | 1013228279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A14395) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102202906) |
Enumeration Date | 2010-06-23 |
Last Update Date | 2023-11-08 |