| NPI | 1639564651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A17476) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA OP61348146) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2024-07-17 |