| NPI | 1679981864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MA 282994) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: MA 282994) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 282994) | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2026-02-24 |