| NPI | 1295942290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.123724) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301088011) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 11628) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-11-27 |