| NPI | 1558581314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101048338) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101048338) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: VA 0101048338) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2012-10-16 |