| NPI | 1457731986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CT 73320) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A147830) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 73320) | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2024-07-08 |