| NPI | 1831139682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A18153) |
| Additional Taxonomies | 2084N0600X (Licence: TX P5302) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2007008860) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2022-05-19 |