| NPI | 1144231499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P4265) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: VT 8845) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA C142161) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-05-01 |