| NPI | 1255495040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102202086) |
| Additional Taxonomies | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: VA 0102202086) |
| 208D00000X General Practice (Licence: VA 0116018976) | |
| 171100000X Acupuncturist (Licence: VA 0102202086) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102202086) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2019-08-01 |