| NPI | 1154063501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A191456) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA PTL10934) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA PTL10934) | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2023-10-17 |