| NPI | 1649276940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 042127) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: CT 042127) |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: CT 042127) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2011-03-23 |