NPI | 1235440413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 0057247) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301096800) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.126756) | |
Enumeration Date | 2010-06-23 |
Last Update Date | 2016-07-28 |