| NPI | 1033786645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35427) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 35427) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2025-05-01 |