| NPI | 1013143619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A12737) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM A-2202-18) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2024-01-31 |