| NPI | 1902169378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 57.029110) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 9713562-1205) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2022-07-21 |