Individual
HIMA B KODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10495 MONTGOMERY RD STE 28, CINCINNATI, OH 45242-4420
(513) 984-2333
(513) 984-8333
Mailing address
10495 MONTGOMERY RD STE 28, CINCINNATI, OH 45242-4420
(513) 984-2333
(513) 984-8333
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.074810
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2210717
—
OH
Enumeration date
10/03/2006
Last updated
04/15/2014
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