NPI | 1366447658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA G58237) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G58237) |
Enumeration Date | 2005-06-14 |
Last Update Date | 2010-06-22 |