| NPI | 1184716565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 41725) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: KS 04-24912) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: OH 35-05-0199-T) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-01-04 |