| NPI | 1861469629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD00018330) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WA MD00018330) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2011-11-22 |