| NPI | 1679834022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A13931) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS020676) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 70025) | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2023-12-20 |