| NPI | 1770113623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 95012178) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95012178) |
| 207T00000X Neurological Surgery (Licence: CA 95012178) | |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |