| NPI | 1194960765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C167898) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 55645-020) |
| 208D00000X General Practice (Licence: WI 55645-020) | |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2024-10-10 |