| NPI | 1417109364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 20A16860) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102202276) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2021-03-02 |