NPI | 1427554682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.172665) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.146902) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.146902) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01094758A) | |
Enumeration Date | 2018-04-04 |
Last Update Date | 2025-01-08 |