| NPI | 1487765020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: PA MD022192E) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD022192E) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: PA MD022192E) | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: PA MD022192E) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |