| NPI | 1679911010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084H0002X (Licence: WA MD60879027) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60879027) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2021-09-03 |