| NPI | 1821220153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 02004053A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH Acknowledgement Lett) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2013-01-16 |