| NPI | 1225002967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD00042088) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 35351) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2021-05-25 |