| NPI | 1043654171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34.013839) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT015086) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2020-12-03 |