| NPI | 1649629619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101275426) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 83178) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: SC 83178) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NC 2016-00110) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: PA MD057059L) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2022-08-19 |