| NPI | 1497295422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: VA 0101221508) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101221508) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2021-07-29 |