| NPI | 1679700967 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A116652)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A116652)  | 
| Enumeration Date | 2009-06-15 | 
| Last Update Date | 2015-04-13 |