| NPI | 1164613378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C130450) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA C130450) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD 043393) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2024-04-29 |