| NPI | 1922217678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60241256) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA a88166) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2025-04-22 |