| NPI | 1598084451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS016754) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS016754) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2015-08-04 |