| NPI | 1790124782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A145596) |
| Additional Taxonomies | 2084H0002X (Licence: CA A145596) |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2022-07-07 |