| NPI | 1780691915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: DE C10003713) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD042477E) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-02-27 |