| NPI | 1346245420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT CT002359) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT CT002359) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT CT002359) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2022-07-19 |