| NPI | 1578679775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD00025833) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD00025833) |
| 2084H0002X (Licence: WA 025833) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2017-01-20 |