| NPI | 1265270573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: OH APRN.CNP.0037078) |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-29 |