| 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 |