| NPI | 1275548992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD00043896) |
| Additional Taxonomies | 2084N0600X (Licence: WA MD00043896) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-06-24 |