NPI | 1073638227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301106462) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35084122) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35084122) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01070092A) | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2024-04-10 |