| NPI | 1326308339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA OP60723168) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CO TL0005897) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2021-03-25 |