| NPI | 1659693885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 20617) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: GA 20617) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: GA 20617) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GA 20617) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 20617) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: GA 20617) | |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: GA 20617) | |
| 101YP2500X Counselor, Professional (Licence: GA 20617) | |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2010-02-17 |