| NPI | 1306841176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A4742) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 20A4742) |
| 208D00000X General Practice (Licence: CA 20A4742) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2013-05-01 |