| NPI | 1174547814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA g147227) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 26842) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 50652) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-10-23 |