| NPI | 1770549131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA G50679) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: CA G50679) |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: CA G50679) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2024-01-02 |