| NPI | 1003076001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2022-00218) |
| Additional Taxonomies | 207RA0000X Internal Medicine Adolescent Medicine (Licence: GA 71280) |
| 207RA0401X Internal Medicine Addiction Medicine (Licence: GA 71280) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2025-08-06 |