| NPI | 1861572091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA 000000G45014) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NM MD2015-0618) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD60604825) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2017-03-22 |