| NPI | 1558866467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.148306) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.148306) |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2023-08-31 |