| NPI | 1164638201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A101580) |
| Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine (Licence: CA A101580) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-03-08 |