| NPI | 1700967973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: RI MD14974) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: RI MD14974) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-02-17 |