| NPI | 1548586308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX Q0353) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: TX Q0353) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2024-01-05 |