| NPI | 1205996303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 29752) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WI 26014) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: SC 29752) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2022-07-21 |