| NPI | 1962443895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD426497) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.081209) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: PA MD426497) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-12-01 |