| NPI | 1497964498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 45268) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY TP473) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 57.011691) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-01-25 |