| NPI | 1437316668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C160805) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA GETP.TUL.P) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2019-10-29 |