| NPI | 1851497028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MA 73294) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: VT 420014270) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: DE C1-0012965) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2019-06-03 |