| NPI | 1891956678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A102652) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME158968) |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: CA A102652) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2023-10-17 |