| NPI | 1932745049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 95015508) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2298089) |
| Enumeration Date | 2019-11-24 |
| Last Update Date | 2022-02-22 |