| NPI | 1437186863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: KY 39957) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: KY 39957) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D57913) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2019-03-26 |