| NPI | 1639112584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: GA 033782) |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: GA 033782) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-09-10 |