| NPI | 1578982435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20091) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA 20091) |
| 207R00000X Internal Medicine (Licence: CA 20091) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA 20091) | |
| 2084P0805X (Licence: CA 20091) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |