| NPI | 1902292196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A170900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 170900) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-07-18 |