| NPI | 1760671036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: OH 35097383) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57012908) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.097383) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.097383) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35097383) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2017-08-24 |