| NPI | 1568091502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34.017159) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: OH 34.017159) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 06020) | |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: KY 06020) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-09-05 |