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 |