| NPI | 1326188756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD052993L) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: PA MD052993L) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-04-09 |