| NPI | 1801816780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-26766) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 21528) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MO R5h10) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-06-28 |