| NPI | 1275774259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: PA OS006183L) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: PA OS-006183-L) |
| 208D00000X General Practice (Licence: PA OS-006183L) | |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2020-08-21 |