| NPI | 1619971280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.095997) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 054553) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.123716) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2011-02-01 |