| 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 |