| NPI | 1881702041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: LA 311383) |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: LA 311383) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-02-17 |