| NPI | 1447213210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 48990) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: VA 0101048990) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2022-12-29 |