| NPI | 1316935752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD00046484) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G68496) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD24233) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2022-02-04 |