| NPI | 1528274925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NC 2019-01104) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: PA MD450559) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD450559) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2019-01104) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-05-07 |