| NPI | 1336166057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A11004) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA14476) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-03-04 |