| NPI | 1578540084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35088726) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY TP648) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2015-10-07 |