| NPI | 1164460622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.135921) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-27833) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 103497) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2019-07-03 |