| NPI | 1043572860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.14970) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: WV 27413) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: KY TP952) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY TP952) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 27413) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: OH 35.14970) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2024-07-09 |