| NPI | 1366124455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: OH 35.152962) |
| Additional Taxonomies | 2084N0600X (Licence: VA 0116038978) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2025-06-27 |