| NPI | 1346227006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 74957) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MA 74957) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MA 74957) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2016-10-13 |