| NPI | 1891742631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: MI 4301406814) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301406814) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2024-01-29 |