| NPI | 1588235626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A24022) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT020776) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2025-07-09 |