| NPI | 1669540597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 061414) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME97311) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35085386) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2019-10-03 |