| NPI | 1013048701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: AR C-5431) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: GA 024467) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2012-05-09 |