| NPI | 1700227931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A142943) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MT205109) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2021-05-17 |