| NPI | 1124361712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A169260) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 54107) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA ML603265241) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2026-08-08 |