| NPI | 1043345861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0600X (Licence: CO DR0052714) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A93333) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM TM2010-0152) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2025-10-20 |