| NPI | 1306013115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: PA MD448987) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD448987) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2014-04-23 |