| NPI | 1528154770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: WA MD00046499) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: OR MD27033) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 21092) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-06-10 |