| NPI | 1124240254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: WA MD00043548) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD00043548) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2017-07-24 |