| NPI | 1073595526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KY 23129) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A42916) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2012-08-13 |