| NPI | 1720407364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.133354) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 201808) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI EMC0004052) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.133354) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-07-01 |