| NPI | 1710515689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A188866) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA PTL5359) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-08-01 |