| NPI | 1306211669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A176554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074819) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA PTL3463) | |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2022-10-09 |