| NPI | 1174985501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A151837) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A151837) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2022-07-15 |