| NPI | 1023272192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 300460) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD 60331925) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: WA MD 60331925) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2019-08-20 |