| NPI | 1881129013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A184215) |
| Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine (Licence: CA A184215) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX U2791) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2019-00983) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 25MA11647100) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2025-02-26 |