| NPI | 1770025090 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20583) | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86049080) | 
| Enumeration Date | 2016-11-17 | 
| Last Update Date | 2025-07-01 |