| NPI | 1568267474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX 1190950) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH APRN.CNP.0038682) |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-04-17 |