| NPI | 1356578710 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35120118)  | 
| Additional Taxonomies | 1744R1102X Specialist, Research Study | 
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: OH 35120118)  | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 35120118)  | |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| Enumeration Date | 2009-06-12 | 
| Last Update Date | 2023-10-25 |