| NPI | 1336131366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 9700784) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NC 9700784) |
| 207R00000X Internal Medicine (Licence: NC 9700784) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2023-11-30 |