| NPI | 1245627397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A171272) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX S2504) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD61366911) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2024-07-17 |