NPI | 1902542178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 26NJ01300400) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA 95028910) |
Enumeration Date | 2022-05-10 |
Last Update Date | 2025-10-03 |