NPI | 1023428760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT206184) |
Additional Taxonomies | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: CA A162340) |
Enumeration Date | 2014-05-03 |
Last Update Date | 2022-02-11 |