| NPI | 1205035250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G80792) |
| Additional Taxonomies | 2084N0600X (Licence: CA G80792) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-12 |