| NPI | 1457189730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 35184) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 35184) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-11-01 |