| NPI | 1053526871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 85325) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: AL 32361) |
| 207Q00000X Family Medicine (Licence: PA MT188910) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-12-07 |