| NPI | 1386987055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 57.252141) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 9148249-1205) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2022-06-20 |