NPI | 1184707325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: NC 89127) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2004-01372) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2009-03-18 |