| NPI | 1356786800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 56547) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 1356786800) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 56547) | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2025-09-16 |