| NPI | 1740330059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 203132) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NY 203132) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 203132) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2009-11-23 |