NPI | 1477531895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 78340) |
Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine (Licence: MA 78340) |
2084P0800X Psychiatry & Neurology Psychiatry (Licence: RI MD09334) | |
Enumeration Date | 2006-01-05 |
Last Update Date | 2023-04-25 |