| NPI | 1669671202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A106451) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A106451) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2020-06-15 |