NPI | 1053452664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A95063) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A95063) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2021-04-05 |