| NPI | 1336269216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO R6P47) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MO R6P47) |
| 2084P0805X (Licence: MO R6P47) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-10-29 |