| NPI | 1154469120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME96190) |
| Additional Taxonomies | 2084N0600X (Licence: FL ME96190) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL ME96190) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: FL ME96190) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2019-04-04 |