| NPI | 1528449436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T0081) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A147252) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A147252) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2022-05-10 |