| NPI | 1235364977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2019-00881) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 35.098175) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: KY 45872) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2019-05-03 |