| NPI | 1093291353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA A164783) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 174400000X Specialist (Licence: CA A164783) | |
| 208D00000X General Practice (Licence: CA A164783) | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-02-08 |