| NPI | 1134281934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A86350) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A86350) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2022-01-19 |