| NPI | 1205925484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A101286) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC ll27135) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-02-11 |