| NPI | 1659361616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0059485) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MD D0059485) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: MD D0059485) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2011-11-22 |