| NPI | 1104130178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 067261) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0060655) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 26802) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH AcknowledgmentLetter) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2022-07-11 |