| NPI | 1609094226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35090899) |
| Additional Taxonomies | 2084N0600X (Licence: OH 35090899) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 35090899) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2013-04-02 |