| NPI | 1649634015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 89703) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: OH 34.014295) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2024-08-22 |