| NPI | 1659707693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A144793) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A144793) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2020-08-13 |