| NPI | 1972026490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CT 70116) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: GA 87506) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 70116) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 87506) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2024-09-19 |