| 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 |