NPI | 1053543603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35099058) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OH 35099058) |
207R00000X Internal Medicine (Licence: OH 35099058) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 30759601) | |
Enumeration Date | 2009-08-17 |
Last Update Date | 2024-04-10 |