| NPI | 1265643571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35094918) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2015-01444) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 43561) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-01-09 |