| NPI | 1194931501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2017-0051) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G61761) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G61761) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA G61761) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2017-04-07 |