| NPI | 1134748361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A178386) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA 3910) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2026-08-18 |