| NPI | 1720074602 |
|---|---|
| Former Name | PENELOPE EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA GA45205) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME73941) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2010-04-10 |