| NPI | 1326400284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME155661) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 320486) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 29569) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: WV 29569) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-07-18 |