| NPI | 1174754170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 099531) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2023037410) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL 160524) | |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2024-04-18 |