| NPI | 1275821720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A150344) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 56767) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2016-00819) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2019-10-09 |