| NPI | 1710924220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD22777) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD22777) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: OR MD22777) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-08 |