| NPI | 1639194038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G80933) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G80933) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-01-17 |