| NPI | 1942443072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34.010803) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV DO1971) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2015-09-11 |