| NPI | 1124240254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: WA MD00043548) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD00043548) |
| 2084N0600X (Licence: WA MD00043548) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2025-02-05 |