| NPI | 1447285424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.086059) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.086059) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NY 248136) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 248136) | |
| 207Q00000X Family Medicine (Licence: NY 248136) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: OH 35.86059) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-11-01 |