| NPI | 1912526948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A176652) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A176652) |
| 208D00000X General Practice (Licence: CA 3288) | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2026-08-18 |