| NPI | 1306093109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A126253) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA N/A) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2016-01-19 |