| NPI | 1083873673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 55654) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35091174) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35091174) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301106892) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2018-05-18 |