| NPI | 1588695167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G60158) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G60158) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2014-04-30 |