| NPI | 1215371935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60638977) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA Md60638977) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2022-07-21 |