| NPI | 1689625956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OR MD218957) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA MDA74785) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101263793) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2024-05-07 |