NPI | 1730686205 |
---|---|
Former Name | MOLLY SUZANNE ZUMBRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.150878) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0070164) | |
Enumeration Date | 2018-04-10 |
Last Update Date | 2024-08-14 |