| NPI | 1376599688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI 13263) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: HI 13263) |
| 2084P0805X (Licence: HI 13263) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-01-28 |