| NPI | 1851402259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A66135) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 13703) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 50512) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-04-15 |