| NPI | 1528295821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A113381) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A113381) | |
| 207Q00000X Family Medicine (Licence: CA A113381) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2015-08-05 |