NPI | 1437354826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.136145) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: OH 35.136145) |
2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MI 4301089965) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301089965) | |
Enumeration Date | 2007-06-18 |
Last Update Date | 2019-07-25 |