| NPI | 1356704613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 89056) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY TP148) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.155978) | |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2026-06-08 |