| NPI | 1962420240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A72790) |
| Additional Taxonomies | 2084N0600X (Licence: CA A72790) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-01-16 |