| NPI | 1386055473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A147229) |
| Additional Taxonomies | 2084N0600X (Licence: CA A147229) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2023-11-09 |