| 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 |