| NPI | 1033475256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A141522) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101283972) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0101445) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2025-10-08 |