| NPI | 1992052658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: CA C193025) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA C193025) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 35129305) | |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2024-12-19 |