| NPI | 1477665867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 46034) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A70569) |
| 207Q00000X Family Medicine (Licence: CA A70569) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A70569) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NM MD2010-0804) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: NM MD2010-0804) | |
| 207Q00000X Family Medicine (Licence: NM MD2010-0804) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-04-27 |