NPI | 1861531501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 24640) |
Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA C53654) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C53654) | |
2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA C53654) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 23341) | |
Enumeration Date | 2007-02-06 |
Last Update Date | 2014-10-16 |