| NPI | 1841514734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MN 59782) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 59782) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MN 59782) | |
| Enumeration Date | 2010-03-21 |
| Last Update Date | 2023-06-22 |