| NPI | 1174899512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A150153) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 284462) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 284462) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 284462) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2023-03-08 |