| NPI | 1144563669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q7746) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA A118455) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2018-03-17 |