| NPI | 1538420997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OR MD187155) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q9773) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A137312) | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2018-05-18 |