| NPI | 1508051277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY TP236) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.084372) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 35806) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2026-09-02 |