| NPI | 1023579513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A177690) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A177690) |
| 174400000X Specialist | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2023-06-20 |