| NPI | 1124225792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101257991) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: GA 002345) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2021-10-20 |