| NPI | 1467682260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD451109) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA c170263) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA C170263) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2023-08-14 |