| NPI | 1417930629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CT 034013) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 034013) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CT 034013) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2017-01-09 |