| NPI | 1912228917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA Psychiatry) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: VA 0101250175) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2023-07-12 |