| NPI | 1780972372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.128177) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MT200192) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: OH 35.128177) | |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2024-08-02 |