| NPI | 1245615798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A16153) |
| Additional Taxonomies | 2084N0600X (Licence: CA 20A16153) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2021-12-01 |