| NPI | 1740476621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C140058) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301075575) |
| 2084P0805X (Licence: CA C140058) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2024-12-02 |