| NPI | 1720440720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: OH 35.143883) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MT212077) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-11-03 |