| NPI | 1982839940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35126859) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 53193) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.126859) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: OH 35126859) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: KY 53193) | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2024-11-14 |