| NPI | 1184669921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 44693) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 35081013) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 262761) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-01-18 |