| NPI | 1376988378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R7906) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: TX R7906) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 58205) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: TX R7906) | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2018-11-05 |