| NPI | 1285716290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL me0061712) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: FL me0061712) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: FL ME0061712) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-07-24 |