| NPI | 1376785642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: CO CDRH.0072479) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA 20A10432) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2024-06-18 |