| NPI | 1174674006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD179667) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60226728) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: WA MD60226728) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2022-01-11 |