| NPI | 1588985766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: GA 50471) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: GA 50471) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: GA 50471) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 50471) | |
| 251S00000X Community/Behavioral Health (Licence: GA 50471) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2022-08-27 |