| NPI | 1720653504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A196548) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA PTL7553) |
| 174400000X Specialist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 00000000000) | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2024-10-01 |