| NPI | 1154431914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MD D0052444) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: MD D0052444) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-09-18 |