| NPI | 1083640353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME76909) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-46121) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35-07-9156-T) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2022014769) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2025-07-15 |