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 |