| NPI | 1689701310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA 20A9208) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A9208) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-01-24 |