| NPI | 1003927864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA 41974) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: WA 41974) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-08-21 |