| NPI | 1750957916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MI 4301512066) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MI 4301512066) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2025-10-20 |