| NPI | 1659686509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60381163) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA ML60168413) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2021-06-22 |