| NPI | 1811194442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34.009158) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.009158) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2023-05-06 |