| NPI | 1780656116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: SC 92674) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 300178) |
| 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: NY 300178) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2025-05-01 |