| NPI | 1346582335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A135532) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A135532) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2019-01-04 |