| NPI | 1982921540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: WA MD60533911) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND PT12970) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 12970) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60533911) | |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2016-12-04 |