| NPI | 1063450500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A82621) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A82621) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA A82621) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2015-12-22 |