| NPI | 1134162985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 058472) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35083325) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35083325) | |
| 207Q00000X Family Medicine (Licence: GA 058472) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2010-04-13 |