| NPI | 1912169442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0805X (Licence: KY 44884) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SD 14368) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.097850) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01070244A) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35097850) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 44884) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2025-07-22 |