| NPI | 1285690701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A103941) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 1390-TEP) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2015-07-30 |