NPI | 1275856403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 144576) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 144576) |
Enumeration Date | 2010-03-02 |
Last Update Date | 2021-12-17 |