| NPI | 1750533402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: VA 0101053530) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MD D0066459) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2022-04-25 |