| NPI | 1295707057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35082273) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35082273) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301079383) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2023-08-28 |