NPI | 1003929571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR OR DO21562) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA WA OP00001640) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2007-07-08 |