| NPI | 1275794612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CA 689) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: MN 3831) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A109226) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2023-11-13 |