| NPI | 1386770196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 57670) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: FL ME105192) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 34400) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2022-07-20 |