| NPI | 1154857373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A195739) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 173638) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MDR-7300) | |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2026-01-21 |