| NPI | 1942598909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: SC MD53192) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: SC MD53192) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2017-10-25 |