| NPI | 1235485343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA 183282) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NM MD2018-0723) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2023-04-14 |