| NPI | 1336230911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: UT 8052247-1205) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WY 7964A) |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: WY 7964A) | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: UT 8052247-1205) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2014-04-22 |