| NPI | 1699974485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C163126) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 0054164) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 227808) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2020-07-14 |