| NPI | 1043318736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101262946) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.084797) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 57463) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-11-15 |