NPI | 1174073035 |
---|---|
Former Name | ALVERNA HESS BUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 9261) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 9261) |
363A00000X Physician Assistant (Licence: OH 50.004863RX) | |
Enumeration Date | 2016-10-04 |
Last Update Date | 2023-10-21 |