| NPI | 1922364736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.127250) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.127250) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2025-10-31 |