| NPI | 1316237852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 265858) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 54141) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CT 54141) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2020-10-27 |