| NPI | 1730132606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A43886) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A43886) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-08-31 |