| NPI | 1215024583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: PR 13590) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 13590) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-05-04 |