| NPI | 1861670887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A138875) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 002609) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35097433) | |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2020-02-13 |