| NPI | 1700464229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.154453) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301515282) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 339485) | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-10-24 |