| NPI | 1619178621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: OH 35-090802) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.090802) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2025-06-27 |