| NPI | 1952474058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G15206) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G15206) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2011-12-27 |