| NPI | 1366709438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: CA A142849) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.151054) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2021-09-10 |