| NPI | 1285640557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 43242) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01059187) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35090420) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2015-04-29 |