| NPI | 1275737835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C141678) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA C141678) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA C141678) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 48549) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2026-06-11 |