| NPI | 1093782575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 40164) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD.15268R) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MS 15268r) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME121356) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2019-05-01 |