| NPI | 1578850707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A150965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.060653) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2019-10-31 |