| NPI | 1821060617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G154714) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 051410) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 68832) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2019-12-09 |