| 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 |