| NPI | 1265433635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.074941) |
| Additional Taxonomies | 2084N0600X (Licence: OH 35074941) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2022-12-07 |