| NPI | 1104990217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS12407) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 3436) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AZ 3436) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-06-10 |