| NPI | 1114006707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX J5283) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX J5283) |
| 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: TX J5283) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-03-28 |