| NPI | 1477949592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.133512) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: KY 55964) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2024-07-29 |