| NPI | 1184280612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301509007) |
| Additional Taxonomies | 174400000X Specialist |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A178425) | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2023-08-30 |