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 |