| NPI | 1124049705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301039392) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: MI 4301039392) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301039392) | |
| 2084N0600X (Licence: MI 4301039392) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301039392) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MI 4301039392) | |
| 2084P0805X (Licence: MI 4301039392) | |
| 208VP0000X (Licence: MI 4301039392) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-12-03 |