| NPI | 1245223296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD00047400) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 41755) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2010-01-26 |