| NPI | 1285078709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: LA 303371) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 390200000) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2022-12-02 |