| NPI | 1295045755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: OH 020336) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD R229326) |
| 261QP2300X Clinic/Center, Primary Care (Licence: MD R229326) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: OH 020336) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2025-10-03 |