| NPI | 1104118637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A105881) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A105881) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2025-02-24 |