| NPI | 1205900412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101241000) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.087327) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2014-02265) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2014-12-05 |