| NPI | 1124003835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: CA A62887) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A62887) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2015-09-21 |