| NPI | 1184019770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.132746) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 64945) |
| 207R00000X Internal Medicine (Licence: OH 35.132746) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2023-07-11 |