| NPI | 1063426880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 54751) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: WI 36166538) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WI 36166538) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-06-04 |