| NPI | 1255793295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A152623) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A152623) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2024-11-16 |