| NPI | 1881670438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A69478) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A69478) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2010-10-14 |