| NPI | 1619354297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G066042) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G066042) |
| 207Y00000X Otolaryngology (Licence: CA G066042) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA G066042) | |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2022-11-07 |