| NPI | 1285729624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C1-0011919) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 233961) |
| 2084P0805X (Licence: OH 35-074735) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-07-09 |