| NPI | 1023068467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: PR 15131) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: PR 15131) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2013-10-22 |