| NPI | 1821093675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KY 02943) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: OH 34-00-8365-S) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2024-08-19 |