| 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 |