| NPI | 1083769459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A5975) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 10019) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 510101324) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-03-12 |