| NPI | 1497963839 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C197012) | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101242573) | 
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD24455-0) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 209166) | |
| Enumeration Date | 2007-05-18 | 
| Last Update Date | 2025-09-11 |