| NPI | 1437647146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A164813) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 164813) |
| 208600000X Surgery (Licence: CA A164813) | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2023-05-15 |