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 |