| NPI | 1316433303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A164652) |
| Additional Taxonomies | 2084P0805X (Licence: CA A164652) |
| 208D00000X General Practice (Licence: CA A164652) | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2024-07-16 |