| NPI | 1750885810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA ME157525) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL TRN26227) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2022-09-15 |