| NPI | 1699003871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA 60380683) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA a84289) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2021-04-12 |