| NPI | 1295266518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CT 71100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 71100) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 71100) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2025-04-24 |