| NPI | 1568704641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A15625) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI 1740) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 007332) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2021-12-01 |