| NPI | 1679524219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301088795) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD417987) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301088795) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MI 4301088795) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2013-05-14 |