| NPI | 1760838981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A158001) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A158001) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A158001) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2025-06-11 |