| NPI | 1982440715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: OH 50.009717RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.009717RX) |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2026-03-10 |