| NPI | 1760688295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A107393) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2011-01965) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2011-01965) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A107393) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2024-08-12 |