| NPI | 1841278967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C43374) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA C-43374) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2018-02-08 |