| NPI | 1942445770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35099698) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.015243) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2013-08-23 |