| NPI | 1164533741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 55442) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A86447) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 23827) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-03-12 |