| NPI | 1750776480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 288733) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: WI 81382-21) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NY 288733) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 81382-21) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2024-05-31 |