| NPI | 1053846139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO216336) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT MED-PHYS-LIC-118679) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34.014910) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 3389) | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2023-11-01 |