| NPI | 1962688507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OH 35.124058) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: GA 60843) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.124058) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2021-12-27 |