NPI | 1730342635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 45447) |
Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: KY 45447) |
2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: KY 45447) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY TP315) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 099222) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 099222) | |
Enumeration Date | 2008-07-10 |
Last Update Date | 2024-02-05 |