| NPI | 1790853125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C142544) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: HI 16002) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2016-07-13 |