| NPI | 1578592192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA G57628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G57628) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-05-24 |