| NPI | 1023065570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA G60299) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G60299) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2017-02-21 |