| NPI | 1831244870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35070242) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 206118) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA MD 14283R) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD 051947L) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-11-03 |