| NPI | 1639404510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.121774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57016532) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2017-08-24 |