| NPI | 1679635916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.093773) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.093773) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 35.093773) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.093773) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2021-02-26 |