| NPI | 1619937158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.136454) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD00045930) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C55168) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-11-25 |