| NPI | 1437441763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A136801) |
| Additional Taxonomies | 2084E0001X (Licence: CA A136801) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2025-09-10 |