| NPI | 1578542940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 35.088867) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: UT 4983981-1205) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: UT 4983981-1205) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: OH 35.088867) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2010-05-13 |