| NPI | 1366838641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 297981) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A147127) |
| 282N00000X General Acute Care Hospital | |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2023-11-27 |