NPI | 1275737835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA C141678) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (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 | 2024-05-10 |