| NPI | 1588770093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60201033) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD60201033) |
| 174400000X Specialist (Licence: OR MD25141) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M12497) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-12-17 |