| NPI | 1285838540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M4178) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: TX M4178) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: TX M4178) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2012-01-26 |