| NPI | 1790097988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: TX U2546) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NY 257153) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MO 2018043066) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: KS 04-41731) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: OK 3606) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.096076) | |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2023-06-02 |