NPI | 1053428607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME86477) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: FL ME86477) |
2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: FL ME86477) | |
Enumeration Date | 2006-08-23 |
Last Update Date | 2017-11-30 |