| NPI | 1013984004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: PR 12865) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: PR 12865) |
| 208VP0000X Pain Medicine Pain Medicine (Licence: PR 12865) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2021-09-23 |