| NPI | 1629459615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA 20A-14950) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA 20A-14950) |
| 208D00000X General Practice (Licence: CA 20A-14950) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2024-01-16 |