| NPI | 1184640724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 35-084525) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-084525) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-11-09 |