| NPI | 1760486534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G88236) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: WA 33283) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2017-12-18 |