| NPI | 1881212918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OH 35.152193) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.152193) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MT220701) | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2025-08-20 |