| NPI | 1639790827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: AZ 72210) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WA MD.MD.70021047) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2025-09-22 |