| NPI | 1184826125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD00048154) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M12835) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2024-04-17 |