| NPI | 1104455138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS19243) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 332813) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34.017471) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-10-28 |