| NPI | 1164571907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 46699) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: OH 35059297) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35059297) | |
| 207Q00000X Family Medicine (Licence: KY 46699) | |
| 207P00000X Emergency Medicine (Licence: OH 35.059297) | |
| 207Q00000X Family Medicine (Licence: OH 35.059297) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2014-02-04 |