| NPI | 1922162221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: MA 220609) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 220609) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MA 220609) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 220609) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2023-02-13 |