NPI | 1629364419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA 20A13930) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 13930) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2023-05-19 |