| NPI | 1891992319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A101410) |
| Additional Taxonomies | 174400000X Specialist |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA A101410) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2017-08-28 |