| NPI | 1689808289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35098516) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 58310) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 45219) | |
| 207Q00000X Family Medicine (Licence: OH 35098516) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 58310) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2024-09-05 |