NPI | 1689009110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A164784) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A164784) |
Enumeration Date | 2013-09-03 |
Last Update Date | 2024-11-26 |