| NPI | 1174599799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.068924) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD425841) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2023-03-09 |