| 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 |