| NPI | 1649243528 |
|---|---|
| Former Name | REBECCA PICKELL SANGALANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A53618) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A53618) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2020-02-11 |