| NPI | 1295949964 |
|---|---|
| Former Name | COLLEEN JUDE BEVEVINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.090249) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01062094A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 090249) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 285315) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-06-29 |