| NPI | 1902965643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD00048739) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: WA MD00048739) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301511152) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: WA MD00048739) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2024-04-23 |