NPI | 1306136726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084E0001X (Licence: CA A129062) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A129062) |
2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: CA A129062) | |
Enumeration Date | 2011-04-19 |
Last Update Date | 2025-03-25 |